S/P Posterior Tibialis Tendon Reconstruction

Definition:
Posterior tibial tendon dysfunction is a condition resulting from overuse or injury to the tendon. The posterior tibial tendon connects the calf muscle in your lower leg to the inner part of your foot. When the posterior tibial tendon becomes inflamed or torn, it no longer can support the arch of your foot which collapses as a result. When there is a more significant injury to the posterior tibial tendon than can be simply repaired, a tendon transfer is done to reinforce the torn tendon. Common tendons used are flexor digitorum longus or other tendonds that belong to another area of the foot.
Purchase 3 Phases

Symptoms
  • Fallen arch
  • Pain in the medial ankle
  • Swelling in the medial ankle
  • Pain worse with activities
  • Pain with walking or standing
  • Point tender with palpation to the medial ankle
Causes
  • Overuse- high-impact sports, such as basketball, tennis, or soccer
  • Muscle imbalance
  • Degeneration
Treatment
  • Non-weight bearing x 4 weeks
  • Period of immobilization
  • Passive ROM , then progress to active ROM
  • Ankle stabilization exercises
  • Lower extremity strengthening
  • Gait program
S/P Posterior Tibialis Tendon Reconstruction Phase I

Purchase Phase

  • Knee Circuit
  • Straight Leg Raise
  • Quad Sets
  • Clams
  • Big Toe Curls
  • Standing Hip Extension
  • Standing Hip Abduction
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Posterior Tibialis Tendon Reconstruction Phase II

Purchase Phase

  • Slant Board Straight Knee
  • Slant Board Bent Knee
  • Sit On Feet
  • Passive Ankle Inversion
  • Passive Ankle Eversion
  • Foot Ankle Prevention Program Yoga
  • Heel Raises
  • Step Overs
  • Tri Planar Knee To Wall
  • Posterior Tib Retraining
  • Toe Yoga
  • Gait II

S/P Posterior Tibialis Tendon Reconstruction Phase III

Purchase Phase

  • Single Leg Balance Mase
  • Step Overs In Mase
  • Heel Offs
  • Backwards Step Ups
  • Backwards Walking
  • Single Leg Squat And Touch
  • Single Leg Speed Skater
  • Stairmaster X 20 Minutes